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The UK Forum for Multi-Professional Critical Care Outreach, 
   Medical Emergency, Acute and Rapid Response Teams

CCOT - Specialist Nurse or Advanced Clinical Practitioners?!

  • 17 Jan 2019 19:58
    Message # 7007293

    Hi All,

    As Lead for the Critical Care Outreach Team for Lincoln County Hospital (ULHT)  I am hoping that other teams nationally are able to provide me with some information if available.

    Like with the majority of teams, the configuration of CCOT and its service provision at ULHT (three sites) have significantly evolved in order to meet subsequent demands including 24/7 working since 2015. In the last 5 years, United Lincolnshire Hospitals NHS Trust has made a substantial investment in Advanced Clinical Practice (ACP) with the publication of a national ACP Framework (HEE, 2017) adding weight to its strategy. As you will be are aware Advanced Clinical Practice is a level of practice characterised by a high level of knowledge and skills to support autonomous complex decision-making. This is underpinned by a master’s level academic award encompassing the four pillars of clinical practice alongside demonstration of core and area specific competence.

    ULHT’s CCOT’s current development pathway includes NMP and an MSc in Advanced Clinical Practice however it is disappointing that currently ULHT does not recognise the Critical Care Outreach Practitioner as practising at ACP level. We strongly disagree with this decision and believe we have the evidence / data to support. As such, we have formed a CCOT professional forum the purpose being to discuss an appropriate strategy with a proposal to the wider organisation that ULHT’s Critical Care Outreach Teams’ be recognised as Advanced Care Practitioners.

    If your Critical Care Outreach Team has a similar strategy, come up against similar challenges or has successfully been recognised for the advanced practice we would love to hear from you :-)

    If you are happy to share, the following information be gratefully received.

    • ·         Job Description
    • ·         Banding of CCOT Practitioner (trainee and fully qualified)
    • ·         Skills required
    • ·         Development pathway (qualifications i.e. NMP / MSc)
    • ·         Competency framework
    • ·         Are you recognised within your organisation as Advance Clinical Practitioners?

     Look forward to hearing you all!!


    Best Wishes


    Lead for CCOT at Lincoln (ULHT)

  • 27 Feb 2019 18:47
    Reply # 7190367 on 7007293

    Hi there

    We've just successfully introduced a Advanced Nurse Practitioner, Critical Care Outreach (Band 8a) at the Royal Berkshire Hospital in Reading - happy to chat about it. 

    Give me a call on 0118-3225404 or email me karin.gerber@royalberkshire.nhs.uk

  • 28 Feb 2019 07:56
    Reply # 7191326 on 7007293

    Hi Karin,

    Please would you mind sharing your Advanced CCOT competencies with the CCOP Cred Group please?








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